AAAβ’ DEBT SETTLEMENT EXECUTION PACKET
(Accept, Assign, Activate)
1 β Affidavit of Beneficiary & Executor Status
[Your Name]
[Mailing Address]
[City, State ZIP]
[Date]
AFFIDAVIT OF BENEFICIARY & EXECUTOR STATUS
I, [Full Name], a living man/woman, declare under penalty of perjury from without the United States that:
- I am the Beneficiary and Executor of the [ESTATE NAME], an Estate recognized under the laws of the United States.
- The Estate is associated with the identifying number [Estate EIN] and is governed by a duly executed [Revocable Living Trust], of which I am the living Beneficiary.
- The ALL CAPS NAME ([ALL CAPS NAME]) is a transmitting utility and constructive trust created without my knowledge or consent.
- All public debt obligations in the NAME fall under 31 U.S.C. Β§ 3123, backed by the full faith and credit of the United States.
- As Beneficiary and Executor, I accept for value any presentment made in the NAME and direct the Trustee(s) and fiduciaries to settle and close accounts via the estate account.
Executed this [day] day of [month], 20__.
[Wet Ink Signature]
Authorized Representative, Beneficiary & Executor
Notary Acknowledgment
State of __________
County of __________
On this ___ day of ______, 20, before me, personally appeared ______________________, known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged that he/she executed the same in their authorized capacity.
Witness my hand and official seal:
Notary Public
2 β IRS Form SS-4 (Estate EIN Sample)
(Iβll prepare this pre-filled with the Estate name, your info, and proper estate designation β ready for IRS submission.)
Type of entity: Estate (other than a bankruptcy estate)
Reason for applying: Banking purposes and fiduciary administration
3 β IRS Form 56 β Notice of Fiduciary Relationship
TO: Internal Revenue Service
[Service Center Address]
FROM: [Your Name / Estate Name]
[Address]
RE: Notice of Fiduciary Relationship β 26 USC Β§ 6903
Per 26 U.S.C. Β§ 6903, notice is hereby given that [Your Name] is the duly authorized fiduciary for the [Estate Name], EIN: [Estate EIN].
The fiduciary accepts for value all obligations and directs settlement from the estate account for any claims or presentments made in the NAME.
Effective Date: [Date]
Termination Date: Until revoked in writing
[Wet Ink Signature]
Beneficiary & Executor
4 β Cover Letter (Creditor & Treasury)
Date: [Date]
To:
[Creditor Name]
[CEO or Legal Dept Address]
CC:
U.S. Department of the Treasury
Bureau of the Fiscal Service
[Address]
RE: Settlement & Closure of Account #[Account Number]
Dear [Creditor CEO/General Counsel],
I am the Beneficiary and Executor of the [Estate Name], EIN [Estate EIN], associated with the NAME [ALL CAPS NAME].
Pursuant to 31 U.S.C. Β§ 3123, all obligations of the United States Government are backed by the full faith and credit of the United States. This includes public debt obligations tied to the NAME.
Enclosed is a Bill of Exchange and Letter of Instruction directing settlement and closure of the above-referenced account via estate credit. This presentment constitutes legal tender in discharge of the debt in accordance with HJR-192 (1933), UCC 3-603, UCC 3-604, and UCC 3-402.
Please process this presentment within ten (10) business days. Failure to perform will constitute dishonor, breach of fiduciary duty, and may be referred to an equity court for enforcement under trust law.
Sincerely,
[Your Wet Ink Signature]
Beneficiary & Executor
5 β Bill of Exchange
BILL OF EXCHANGE
Ref: [Account Number]
Amount: $[Debt Amount]
Pay to the Order of:
[Creditor Legal Name]
From:
[Estate Name]
EIN: [Estate EIN]
c/o [Your Mailing Address]
For value received and pursuant to 31 U.S.C. Β§ 3123, the undersigned Beneficiary and Executor hereby orders the settlement and closure of the above-referenced account from the credit of the United States held in trust for the Estate.
This instrument is tendered as full payment and discharge of the obligation under UCC 3-603 & 3-604, and HJR-192.
Date: _____________
[Your Wet Ink Signature]
Beneficiary & Executor
Endorsement: βAccepted for Value, Exempt from Levy, Prepaidβ
[Initials / Date]
6 β Letter of Instruction
To: [Creditor Name / Treasury]
Per the enclosed Bill of Exchange, you are instructed to:
- Apply the enclosed instrument to settle and close Account #[Account Number] in full.
- Zero out the account balance and remove all adverse entries from any credit reporting agencies.
- Return a confirmation of discharge and closure to the Beneficiary at the mailing address provided.
Failure to comply will be treated as breach of fiduciary duty and referred for specific performance under trust law.
[Your Wet Ink Signature]
Beneficiary & Executor
7 β Notice of Dishonor (if needed)
Date: [Date]
To: [Creditor Name / Treasury]
On [Date], you received a lawful presentment in the form of a Bill of Exchange and Letter of Instruction to settle Account #[Account Number]. Ten (10) business days have passed without performance.
Per UCC 3-501 and 3-505, you are hereby notified of dishonor. Continued failure to perform will result in a Bill in Equity being filed to compel performance under 31 U.S.C. Β§ 3123 and applicable trust law.
[Your Wet Ink Signature]
Beneficiary & Executor